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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. AMANDA BRYANS JACKSON DMD
NPI 1760317432
Dentist - General Practice in Augusta, GA

Active since June 15, 2026PECOS Enrolled
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912(706) 721-2371(706) 721-6778 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Amanda Bryans Jackson Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMANDA BRYANS JACKSON DMD (NPI 1760317432) is an individual general practice provider in Augusta, Georgia, licensed in Georgia (DN124191) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760317432
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. AMANDA BRYANS JACKSONCredential: DMD
Location Address1430 JOHN WESLEY GILBERT DRIVEAugusta, GA 30912-0001
Mailing Address1430 John Wesley Gilbert DriveAugusta, GA 30912-0001 · (706) 721-2371 · Fax (706) 721-6778
Phone(706) 721-2371
Fax(706) 721-6778
Sole ProprietorNo
Enumeration DateJune 15, 2026
Last NPPES UpdateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
✔ NPI 1760317432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN124191
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1430 JOHN WESLEY GILBERT DRIVE, Augusta, GA 30912
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Other Names 1

Former Name (1)Amanda Bryans

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Bryans Jackson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEOFFREY ALLEN THOMPSON DDS, MS
Dentist (Prosthodontics)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
JOHN KENNETH HAWKINS CRNA, PHD
Nurse Anesthetist, Certified Registered
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-9744
DR. THEODORE D RAVENEL V DMD
Dentist (Endodontics)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
RYAN PATRICK MOONEYHAM DDS
Dentist (Oral and Maxillofacial Surgery)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-9744
DR. ELIZABETH CASTLEBERRY MILLER DDS
Dentist
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2441
JAYNA PATEL
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
DANIJELA LAZIC
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
DR. ROY A ROCKMAN DDS
Dentist (Pediatric Dentistry)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Jackson's NPI number?

The NPI number for Amanda Jackson is 1760317432. It was assigned to this individual provider in the NPPES registry on June 15, 2026. The provider is also known as Amanda Bryans.

Where is Amanda Jackson located?

Amanda Jackson practices at 1430 John Wesley Gilbert Drive, Augusta, GA 30912. The listed phone number is (706) 721-2371.

What is Amanda Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Amanda Jackson enrolled in Medicare?

Yes. Amanda Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Jackson was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.